Governmental Coverage

Patients with Medi-Cal or Medicare
Coverage
If you are
currently uninsured, you may qualify for Medi-Cal or Medicare coverage.

Facts about Medi-Cal
Medi-Cal is an
insurance program jointly funded by your state and federal government. Patients
have 90 days from date of treatment to apply for Medi-Cal; this applies to
inpatient and outpatient treatment.

Eligibility is determined by:

Disability due to medical reasons

Number of minor children (under the age of 18) in the home

Inability to return to work for four months or more

Pregnancy

Income

Assets

For more info
visit www.medi-cal.ca.gov/ or contact the Patient Financial Services department at
(559) 624-4200.

Facts
about Medicare
Medicare is a
federally funded health insurance program for people age 65 or older, some
people with disabilities under age 65, and people with End-Stage Renal Disease.
Medicare has 2 parts, Part A and Part B. Part A is hospital insurance - most
people do not pay for Part A coverage. Part B is medical insurance - most
people pay monthly for Part B coverage.
There are limitations on a number of services and items covered by Medicare and
Medi-Cal, depending on the plan you have. You are responsible for co-payments,
deductibles, and other services not covered.

Medicare
Premiums and Deductibles/Co-payments (2012 Rates)

Medicare
Deductible and Coinsurance Amounts for 2012:

Part
A: (pays for inpatient hospital,
skilled nursing facility, and some home health care) For each benefit period
Medicare pays all covered costs except the Medicare Part A deductible (2012 =
$1,156) during the first 60 days and coinsurance amounts for hospital stays
that last beyond 60 days and no more than 150 days.

For
each benefit period you pay:

A total of $1,156 for a hospital
stay of 1-60 days.

$289 per day for days 61-90 of a
hospital stay.

$578 per day for days 91-150 of a
hospital stay (Lifetime Reserve Days).